Outpatient Surgery Magazine

Manager's Guide to Staff & Patient Safety - October 2014

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/386326

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Page 70 of 70

7 1 O C T O B E R 2 0 1 4 | S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E d. all of the statements are true Answer: b Use electronic sponge management systems only as an adjunct to rigid counting procedures to provide an extra layer of safety. The technology is designed to veri- fy the count conducted by the circulator and the surgical technologist, not replace the manual process. Remember that in most surgical cases involving an RFO, no one was aware there was a problem and the count was documented as "correct." You must account for all sponges, sharps, needles and instruments by the end of surgery. When is that? a. when the patient leaves the OR b. anesthesia emergence c. when the last stitch or staple is placed d. when the surgeon leaves the OR Answer: c Waiting until after complete skin closure to rectify counts could add time to the case if there is a missing item, which extends anesthesia and places the patient at additional risk. Failure to identify and prevent an RFO before the completion of skin closure is an indicator that a breakdown in the counting system occurred, and should be investigated. The definition of "the end of surgery" may seem like semantics, but it's important that everyone in the OR is working off the same understanding of when counts should be completed. OSM Mr. Flora ( chad.flora @harrishealth.org ) is a perioperative nursing leader at Ben Taub Hospital in Houston, Texas. R E T A I N E D O B J E C T S

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